SPONTANEOUS DEMAND IN URGENT AND EMERGENCY IN PRIMARY

Introduction:The reception with Risk Rating in the Emergency Service in a Basic Health Unit(UBS) lets us identify and assess risks and vulnerabilities and be aware of the degree of physical and psychological suffering and makes it possible to offer a service with resolution,guiding the patient and family to network healthcare.We are interested in checking out as is done with the reception of spontaneous demand risk rating through the Manchester triage system to reduce morbidity and mortality in primary care.Objective:Check the registration of spontaneous demand referred to the Emergency Service in a UBS Emergency,in Guarulhos, using the Manchester protocol. Methodology: We used the Book of Emergency of UBS Jacy with 54 cases recorded from January to July 2015 and analyzed 27 complete medical records.According to Manchester Protocol to classify the reported cases in accordance with the priorities of the signs and symptoms in 5 categories: Red (immediate);Orange (within 10 minutes); Yellow(up to 1 hour);Green(up to 2 hours);Blue(up to 4 hours)for clinical management in primary care. Results:Of the total sample were identified 09cases in red category, 12cases in orange, 05cases in yellow, 01cases in green and no one in the blue. The classification allowed the equity in access to care and use of the health care network termination form as the optimization of the Mobile Emergency Service.Conclusion:The Home with risk rating in Urgency and Emergency Service in Primary Care through the Manchester Protocol assured harm reduction and health hazards to users and allowed stabilize the health condition in the most urgent cases until the arrival of the Mobile Emergency Service.